How much rates vary
Facilitymedian $5,495 · 10th to 90th $1,738 to $11,482Professionalmedian $2,089 · 10th to 90th $977 to $5,129
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $2,089.30 Median $7,244.36 Typical High $12,589.25 | Facility | None | $2,089.30 | $7,244.36 | $12,589.25 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,949.84 Typical High $2,570.40 | Professional | None | $977.24 | $1,949.84 | $2,570.40 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $1,071.52 Typical High $1,819.70 | Professional | None | $213.80 | $1,071.52 | $1,819.70 |
BCBS Nebraska Setting Facility Modifier None Typical Low $7,762.47 Median $10,232.93 Typical High $21,379.62 | Facility | None | $7,762.47 | $10,232.93 | $21,379.62 |
BCBS Nebraska Setting Professional Modifier None Typical Low $5,011.87 Median $5,370.32 Typical High $5,754.40 | Professional | None | $5,011.87 | $5,370.32 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $5,011.87 Typical High $6,456.54 | Facility | None | $1,380.38 | $5,011.87 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,344.23 | $2,570.40 |
Medica Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $12,022.64 | Facility | None | $1,584.89 | $4,073.80 | $12,022.64 |
Medica Setting Professional Modifier None Typical Low $1,288.25 Median $2,238.72 Typical High $7,943.28 | Professional | None | $1,288.25 | $2,238.72 | $7,943.28 |
Midlands Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $3,162.28 | Professional | None | $1,905.46 | $2,398.83 | $3,162.28 |
Midlands Setting Facility Modifier None Typical Low $1,380.38 Median $5,128.61 Typical High $6,760.83 | Facility | None | $1,380.38 | $5,128.61 | $6,760.83 |
Midlands Setting Professional Modifier None Typical Low $1,819.70 Median $2,398.83 Typical High $3,311.31 | Professional | None | $1,819.70 | $2,398.83 | $3,311.31 |
Oscar Health Setting Facility Modifier None Typical Low $6,309.57 Median $11,220.18 Typical High $17,782.79 | Facility | None | $6,309.57 | $11,220.18 | $17,782.79 |
Oscar Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,000.00 | $1,862.09 | $2,344.23 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $8,912.51 | Facility | None | $1,819.70 | $3,981.07 | $8,912.51 |
United Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,951.21 | Professional | None | $1,288.25 | $2,137.96 | $2,951.21 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $489.78 Median $489.78 Typical High $831.76 | Professional | 52 · Reduced service | $489.78 | $489.78 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $194.98 Typical High $331.13 | Professional | 53 · Discontinued | $194.98 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $724.44 Median $724.44 Typical High $1,230.27 | Professional | 54 · Surgery only | $724.44 | $724.44 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $144.54 Typical High $251.19 | Professional | 55 · Aftercare only | $144.54 | $144.54 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $97.72 Typical High $165.96 | Professional | 56 · Pre-op care only | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $676.08 Median $676.08 Typical High $1,148.15 | Professional | 78 · Unplanned return to OR | $676.08 | $676.08 | $1,148.15 |
Where Nebraska sits
The same service costs 4.2 times more in Colorado than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Physician feeFacility fee
CO $14,362MT $3,396
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.